Doctor Name: | HEATHER LEE SMITH |
NPI Number: | 1811941776 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSYD |
License Number: | 33053 |
Business Practice Address: | 1711 W Wheeler Ave Ste 2 Aransas Pass, TX - 783364536 |
Business Phone Number: | 3618879600 |
Business Fax Number: | 3618831661 |
Mailing Address: | 1711 W Wheeler Ave Ste 2, ARANSAS PASS |
State: | TX |
Postal Code: | 783364536 |
Phone Number: | 3618879600 |
Fax Number: | 3618831661 |
NPI Enumeration Date: | 05/22/2006 |
NPI Last Update Date: | 07/30/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 33053 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |